To discuss the transformation work.
Minutes:
James Fleet, Lancashire and South Cumbria Integrated Care Board, Helen Ashworth, Integrated Care Partnership, Aidan Kirkpatrick, Public Health, Lancashire County Council presented the "Partnership approaches to prevention in communities: Healthy Hearts" with regards to bringing together partners and communities to look at the priorities from a practical perspective of policies and plans and to discuss amongst members if the Board is doing all it can with regards to this priority and being held to account also.
The Board were reminded that Cardiovascular Disease (CVD) is the leading cause of death worldwide and accounts for one in four of all deaths in England, the equivalent of approximately one death every four minutes. Lancashire has higher levels of premature (under 75) mortality rates from Cardiovascular Disease (CVD) relative to England. The prevalence of key risk factors for the development of Cardiovascular Disease are broadly also higher than the England average but crucially with wide variation across respective neighbourhoods within Lancashire.
The Board were also reminded its' commitments so far which were:
• It had agreed to work together to establish a Lancashire Health Hearts programme and will work over a ten-year period to reduce the development of Cardiovascular Disease (CVD) within Lancashire local communities.
• It will use an evidence-based approach that encompasses seven key workstreams:
i) Tobacco
ii) Alcohol
iii) Physical Activity
iv) Supporting Healthy Weight
v) Food Diet and Nutrition
vi) Health in All Policies approach
vii) Cardiovascular Risk Modification
• It will also acknowledge the closely related work programmes around clinical risk management (Atrial Fibrillation (AF), Hypertension and lipid management) with NHS colleagues within the broader Integrated Care System (ICS).
• It will set challenging interim targets between now and 2030 and report regularly to the Lancashire Health and Wellbeing as well as seek their support in how best to implement this programme as it evolves.
Key targets that the Board had agreed up to 2030 across the seven key workstreams were also presented and the current performance was outlined, and it was reiterated the importance of taking a place-based systems approach in tackling 'the cause of the causes'.
The Board discussed what it meant in practice to take a place-based partnership working approach around the Healthy Hearts priority.
A case study of community partnership working was presented to the Board which was where the NHS had teamed up with community groups to deliver vital health checks in Burnley. Health clinics are being delivered by Burnley East and West Primacy Care Networks (PCNs) and offer a variety of baseline health checks, such as height, weight and blood pressure, as well as more complex screening opportunities for conditions like asthma, chronic obstructive pulmonary disease and diabetes etc. There is also a provision for vaccinations, annual learning disability health checks annual serious mental illness health checks, and a Dietetics clinic, with organisations working together to coordinate care and any onwards referrals where necessary.
The Board were asked to think what opportunities their own organisations can take action on with this agenda and was there one action they can commit to influencing and promoting within their organisation.
Following discussion, the following ideas were suggested:
Financial commitment
Long-term commitment
How to support organisations in the Voluntary, Community and Faith Sector
Work together as integrated neighbourhood teams
Learn from different areas across the Country
Promote the work better with staff in the organisations
Understand that District Councils know communities better
Councils around the Health Hearts programme
Link in with voluntary groups
Bigger aspiration for the County
Long term partnership to align commissioning
Workforce capability and the ability to communicate with diverse communities
The way business is carried out and the way local communities are engaged with
Concluding the discussion, the Board were reminded that it signed up to the Healthy Weight Declaration in 2022 and the Chair requested that members of the Board think about what individual organisations have done since then and report back at the next meeting of the Board in May 2023. Also members were asked to commit to doing something that will make a difference and agree that the Board challenges itself regularly on the commitments made.
Resolved: That members of the Board feedback at the next meeting in May 2023, what their organisations have done and/or committed to since the Health Weight Declaration was signed in 2022.